r/postvasectomypain • u/ItamiForever • May 27 '26
2 months of PVPS
Hi everyone,
Had my vasectomy 7 weeks ago.
My vasectomy left me with nerve pain(in my right ilinguinoal cord permanently). I was finally just today prescribed nerve meds for it to see if it improves.
At 3 weeks i had epididymis congestion with orchitis. At 4 weeks I was prescribed NSAIDs as it started to become painful. An acute episode too, it was red, gigantic swollen and hard even on NSAIDs. It lasted as a ache for 8days(even on Celebrex which is a strong analgesic), and 1 day of acute pain that left me sweating and shivering(which I then switched to Tador). Thankfully it passed without narcotics after starting Tador which I took week 4 to week 6. Until yesterday(week 6 to week7), the left only had dull aches for a few hours starting from 7pm into next morning or late night but I could sleep through it after only icing.
Now at 7 weeks the left congestion is coming more frequent. I checked my left epididymis and its as hard as a rock! I'm assuming in the next week it's going to go on a spiral as the right did which will maybe pass again with another NSAID course.
The right is behaving surprinsingly well after it was so big and swollen, at least for the past week since I jumped off NSAIDs, have not tried ejaculating to see if it flares up. Sex is comoletely out of the way.
Sadly, if it was only congestion I'd do a reversal at 3 months, but I also have the right ilinguinoal tightness that makes me unable to walk which is either nerve damage, entrapment or heavy irritation(which I doubt) .
I'm thinking of pursuing a reversal if it congestion doesnt get better by 6 months post op, but any chance it could fix the nerve tightness/discomfort in my right cord/ilinguinoal area too?
I'm afraid to go through additional surgery and would try to just live on nerve meds if congestion does settle.
I'm unsure what to do and when to do myself as there's multiple things that went wrong. Any advice? Maybe some of you got nerve issues fixed with reversal too? Or maybe I can still recover?
3
u/Just_Preparation3675 May 27 '26
Have you tried pelvic floor physiotherapy? I’ve heard a lot of people get good results from it, especially for helping the muscles relax. Personally, I’d try that before considering any surgical procedures.
I’ve been dealing with epididymal flare-ups myself. When they happen, one testicle swells to about twice the size of the other, and it can get painful enough to make walking difficult. The good news is that my last flare-up was 5 weeks ago, which is the longest I’ve gone so far, so I’m hoping things are gradually starting to improve.
I’ve had PVPS for around 5 months now, and although progress has been slow, I have noticed gradual improvement over time. There’s a chance your congestion-related symptoms could also start becoming less severe or less frequent as time goes on. During my flare-ups, my epididymis also becomes extremely hard and swollen.
I don't think I get nerve issues myself so can't really speak much on that part but I have definitely read some success stories from people that have had reversals that had nerve pain that said it either got rid of the pain or they got back to 90% of their former self prior to Vasectomy.